Sign in

Sam Fellowes

@samfellowes.bsky.social
4.5K followers 3.6K following 250 posts

Philosophy of psychiatry, history of autism, psychiatric diagnoses, EBE research, self-diagnosis. samfellowes.com www.youtube.com/@sfhps

PostsRepliesMedia
Sam Fellowes @samfellowes.bsky.social · 13/09/2026
The Routledge Handbook of Philosophy of Scientific Modeling is released in paper back. Based on reading the first 100 pages of the pdf, it is excellent.
routledge.com
The Routledge Handbook of Philosophy of Scientific Modeling
Models and modeling have played an increasingly important role in philosophy, going back to the nineteenth century. While philosophical interest in models has been remarkably lively over the last two ...
0194
Sam Fellowes @samfellowes.bsky.social · 22/08/2026
Any subtype of #autism will be an idealisation and abstraction which does not reflect reality. But autism itself is also an idealisation and abstraction which does not reflect reality*, so why is that a problem? *Reality: the specific behaviour exhibited and specific causal interactions occurring**
130
Sam Fellowes @samfellowes.bsky.social · 21/08/2026
I have previously suggested that alternatives to expanding autism are 1) creating new diagnoses or 2) subtyping [not high vs low, they were bad subtypes]. This seemingly puts me in league with Frith and Baron, who are not so popular. Just about every science divides or subdivides when #autism 1/2
bbc.co.uk
A split in the spectrum? The ongoing battle to define autism
There is a continuing row over whether it matters if such a broad spectrum of people are defined as having autism
310
Sam Fellowes @samfellowes.bsky.social · 13/08/2026
Wrote a book review: link.springer.com/article/10.1...
link.springer.com
Schizophrenia, perspectivism and competing perspectives - Metascience
Metascience -
031
Sam Fellowes @samfellowes.bsky.social · 19/06/2026
Embodying Divergence: New Directions in Autism and Neurodiversity Research conference: #autism #phenomenology
event.au.dk
Eventværk
040
Sam Fellowes @samfellowes.bsky.social · 15/06/2026
Given that self-diagnosis is stereotypically associated with social media*, it will be interesting to see if self-diagnosis rates decrease after the UK under-16s ban on social media comes into affect. *see below
120
Sam Fellowes @samfellowes.bsky.social · 15/06/2026
If an academic job asked for "Research plan – description of current and future research plans", any ideas of what 'current' consists of (just stuff not yet published but in preperation, stuff published in the last two years, etc.)
210
Sam Fellowes @samfellowes.bsky.social · 01/06/2026
Anyone up for subtyping autism on these grounds: hyper-empathy autism and alexithymia autism? Some autistic people would not fall into either camp, but I would put myself in the latter subtype. #autism
440
Sam Fellowes @samfellowes.bsky.social · 22/05/2026
How might this relate to #neurodiversity? "The vibes are young male vibes,"... there's a strong neurological factor – young men's attitude to sports, money, and prediction markets is down to... "an underdeveloped pre-frontal cortex and a high appetite for risk". www.bbc.co.uk/news/article...
bbc.co.uk
Why young men are drawn to prediction markets
Prediction markets are a fast-growing, multi-billion-dollar industry, and appeal disproportionately to young men
110
Sam Fellowes @samfellowes.bsky.social · 21/05/2026
New podcast episode about my undercover escapade at the Swedish Congress of Psychiatry.
youtube.com
Infiltrating the Swedish Congress of Psychiatry
YouTube video by Philosophy of Psychiatric Diagnoses
040
Sam Fellowes @samfellowes.bsky.social · 13/05/2026
My new article, I look at 20 empirical studies on the double empathy problem and argue that none show whether the double empathy problem is applicable to cognitive empathy and affective empathy. #autism #empathy
link.springer.com
Cognitive Empathy, Affective Empathy and Empirical Research on the Double Empathy Problem: A Critical Methodology Review - Journal of Autism and Developmental Disorders
Purpose The double empathy problem posits that autistic people and non-autistic people both lack empathy with the other side rather than the lack of empathy solely residing in one side. There have bee...
2125
Sam Fellowes @samfellowes.bsky.social · 23/04/2026
New paper looking at the philosophical assumptions of HiTOP, written by the HiTOP crew. If you are not aware, HiTOP might be the most interesting thing happening in psychiatry currently. Also, I wrote a response article to it. muse.jhu.edu/pub/1/articl...
muse.jhu.edu
Project MUSE -- Verification required!
261
Sam Fellowes @samfellowes.bsky.social · 18/04/2026
No connection to my own academic interests but reposting due to bigging up animals.
050
Sam Fellowes @samfellowes.bsky.social · 17/04/2026
It is my birthday today. So I am taking a day off from the (alas non-academic) day job to do my favourite thing: go to the library and read philosophy of science articles on scientific models!
2110
Sam Fellowes @samfellowes.bsky.social · 08/04/2026
Has anyone ever written about adopting an identity as requiring some type of epistemic commitment, that most people will not adopt an identity unless they genuinely believe there is a significant level of fit between themselves and the identity. Any philosophy, psychology, sociology etc. on this?
030
Sam Fellowes @samfellowes.bsky.social · 07/04/2026
Given the apocalyptic language in the news and the highly remote but non-negligible possibility that the end of the world is nigh, I would just like to reiterate my support of The Enlightenment. Largely failed in its aims but I cannot think of a better alternative. Science, truth, reason, etc.
031
Sam Fellowes @samfellowes.bsky.social · 25/03/2026
There is a massively polarised debate in relation to over/under-diagnosis in psychiatry. Over/under-diagnosis are both harmful. Also, both could occur simultaneously: loads of people might get diagnoses they should not, whilst simultaneously loads of other people might not get diagnoses who should.
1276
Sam Fellowes @samfellowes.bsky.social · 23/03/2026
Not read it yet but looks super interesting: considering Reichenbach's principle of coordination and his interest in experimental psychology in light of modern notions of construct validity in psychology.
link.springer.com
The experimental psychology behind coordination - History and Philosophy of the Life Sciences
History and Philosophy of the Life Sciences - In the philosophy of science, the problem of coordination concerns the difficulty of linking abstract theoretical concepts with their empirical...
030
Sam Fellowes @samfellowes.bsky.social · 12/03/2026
Giving the keynote on Defending Psychiatric Diagnoses at the Swedish Congress of Psychiatry. You know the drill by now, psychiatric diagnoses as not reflecting real people but that is alight because they are idealised and abstract models, and modelling is great in science. #psychiatry #philsci
192
Sam Fellowes @samfellowes.bsky.social · 11/03/2026
At the Swedish Congress of Psychiatry. I am surrounded by hundreds of psychiatrists. Do they know there is a philosopher in their midst? What might they think of such a strange creature?
060
Sam Fellowes @samfellowes.bsky.social · 10/03/2026
This is your friendly reminder that when it comes to debates about autism being over or under diagnosed, there are more options than 1) expand autism or 2) leave people who would likely benefit from a diagnosis without a diagnosis. #autism
172
Sam Fellowes @samfellowes.bsky.social · 27/02/2026
Earlier today was the annual Lancaster philosophy of psychiatry work in progress day. I spoke on Self-diagnosis, modelling and the Duhem-Quine thesis.
130
Sam Fellowes @samfellowes.bsky.social · 25/02/2026
In relation to self-diagnosis, if someone is autistic/ADHD/DID/etc, and if they consider that condition, I strongly suspect they can accurately self-diagnose. The challenge of self-diagnosis is whether people without the condition can work out that they do not have the condition. #autism #ADHD #DID
160
Sam Fellowes @samfellowes.bsky.social · 10/02/2026
“The struggle is real” - Karl Jaspers, 1913 #psychiatry
060
Sam Fellowes @samfellowes.bsky.social · 31/01/2026
For academic job applications, I typically write some 5,000 word plus epic. This one only wants a covering letter. Are there any advantages to keeping things to say 1,500 words, whilst still hitting all the criteria?
240
Sam Fellowes @samfellowes.bsky.social · 22/01/2026
New article by me, HiTOP, Objectivity and Logical Positivism. I use Carnap's notion of a framework to consider how categorical and dimensional approaches relate to objectivity within HiTOP. (This is a commentary on Aftab et al's HiTOP article) #philsci #hps #philpsy #psychiatry
muse.jhu.edu
Project MUSE - HiTOP, Objectivity, and Logical Positivism
050
Sam Fellowes @samfellowes.bsky.social · 21/01/2026
Academic CVs for philosophy and medical humanities jobs, should I have a 'Under Review' section and should I have a 'In Preparation' section?
300
Sam Fellowes @samfellowes.bsky.social · 06/01/2026
Not read it myself but this look very relevant for philosophy of psychiatry:
050
Sam Fellowes @samfellowes.bsky.social · 23/12/2025
New podcast episode, Over-diagnosis, right-wing narratives, anti-psychiatry and alternatives to autism
youtube.com
Over-diagnosis, right-wing narratives, anti-psychiatry and alternatives to autism
YouTube video by Philosophy of Psychiatric Diagnoses
061
Sam Fellowes @samfellowes.bsky.social · 21/12/2025
Finally found time to do some podcasting. The working title for my next episode is "Over-diagnosis, anti-psychiatry, right-wing narratives and alternatives to autism". This could be interesting...
2371
Sam Fellowes @samfellowes.bsky.social · 21/12/2025
Philosophy of Psychiatry call for papers
052
Sam Fellowes @samfellowes.bsky.social · 16/12/2025
Just saw that James Bogen died. Every time I talk about psychiatric diagnoses or psychiatric symptoms as being models, or I try and outline expert-by-experience research or self-diagnosis as involving idealisation and abstraction, I'm probably being influenced by Bogen and/or Woodward.
030
Sam Fellowes @samfellowes.bsky.social · 16/12/2025
New philosophy paper on self-diagnosis in psychiatry. It is a bit more optimistic than I am but it is definitely worth reading #self-diagnosis #HPS #psychiatry: link.springer.com/article/10.1...
link.springer.com
The Politics of Self-narration: Self-Diagnosis as Digital Counter-Narrative - Topoi
This article explores the epistemic, political, and affective dimensions of self-narration in relation to neurodivergence and self-diagnosis, focusing on how such practices can resist forms of epistemic injustice. Building on Fricker’s framework of testimonial and hermeneutical injustice, we argue that self-narratives - especially when articulated through social media - can serve as tools of epistemic resistance and community building, that challenge dominant medicalized narratives. In the first part we develop a theoretical framework to understand the relation between identity claims and narrative practices, as well as their link to epistemic injustice. We will argue that lived experience of mental conditions and neurodivergence can act as a source of self-narrations that can both be influenced by, and counter, pathologizing dominant narratives. Especially through this kind of resistance, self-narrative practices can build what we call collective counter-narratives that can oppose epistemic injustice in psychiatry. Drawing on this, we explore how digital platforms provide neurodivergent individuals with alternative spaces for recognition and knowledge production. Social media affordances, such as visibility and interactivity, enable community building and identity affirmation, while also introducing vulnerabilities through over-sharing and algorithmic normativity. By analyzing self-diagnosis and online disability performance, we highlight how epistemic agency is negotiated amid technological and socio-cultural asymmetries. Ultimately, we argue that digital platforms can serve as arenas of epistemic resistance, where lived experience is claimed as collective expertise, challenging traditional medical authority, while acknowledging the associated risks and political implications.
0165
Sam Fellowes @samfellowes.bsky.social · 06/12/2025
"the choice is not between autism or nothing, but rather between autism and about a dozen other diagnostic possibilities". This is very relevant for discussions of overdiagnosis and self-diagnosis. #autism
1123
Sam Fellowes @samfellowes.bsky.social · 03/12/2025
Question about Carnap. Carnap posits frameworks and correspondence rules. Would statistical techniques like factor and cluster analysis (i.e. statistical techniques used in psychiatry) be a framework, a correspondence rule or something else? #philsci #philosophy
133
Sam Fellowes @samfellowes.bsky.social · 30/10/2025
Presenting on 'Self-Diagnosis in Autism: why, how, accuracy and consequences' to medical professionals later today. It will be interesting to see what medical professionals make of the issue. #autism #self-diagnosis
040
Sam Fellowes @samfellowes.bsky.social · 30/10/2025
Richard Hassall is one of my philosophical opponents but whom I am on good terms with. Always worth paying attention to what they say:
021
Sam Fellowes @samfellowes.bsky.social · 10/10/2025
My new article on lived experience research. I criticise Bhaskar as a philosophical foundation. I argue that seeing psychiatric diagnoses as idealised and abstract models leads to a pluralistic relationship between lived experience and diagnoses #philsci #hps #philpsy #sts #livedexperience
muse.jhu.edu
Project MUSE - The Epistemology of Psychiatric Diagnoses in Lived Experience Research
0195
Sam Fellowes @samfellowes.bsky.social · 23/09/2025
"To truly understand people we need far richer sources than the DSM. Tarkovsky and Dostoevsky may deliver truths in a way the DSM cannot". Sorry for the self-promotion but I like this bit of my book. The book is about defending diagnoses, but I also recognise their limits #psychiatry #DSM
050
Sam Fellowes @samfellowes.bsky.social · 11/09/2025
I outline the positions held by critics of psychiatric diagnoses which I reacted to in my book. #Psychiatry #HPS #philsky #philsci
youtube.com
What I am reacting to: In Defence of Psychiatric Diagnoses
YouTube video by Philosophy of Psychiatric Diagnoses
0121
Sam Fellowes @samfellowes.bsky.social · 10/09/2025
Interesting stuff on difficulties of defining experiential knowledge and what role it should play in research.
062
Sam Fellowes @samfellowes.bsky.social · 02/09/2025
The book Contemporary Philosophy of Autism has just been released. It contains my chapter Autism, the Double Empathy Problem and Feeling the Emotions of Another Person. #philsci #philpsy #HPS #STS #autism #empathy
routledge.com
Contemporary Philosophy of Autism
This volume explores interesting and emerging philosophical questions related to autism. It sheds light on the ways in which cultural attitudes about autism have changed in the decade since the editor...
2276
Sam Fellowes @samfellowes.bsky.social · 08/08/2025
Another one of those zero relevance to anything I do but I still want to read it papers. AIs can certainly do some very impressive reasoning above and beyond statistical associations, but I presume the answer is still no:
120
Sam Fellowes @samfellowes.bsky.social · 04/08/2025
Just finished Cyberpunk 2077. There are quite a lot of #philosophy themes in the game, especially relating to questions of identity and death. Also, one of the radio stations plays a band named The Cartesian Duelists. #Descartes
060
Sam Fellowes @samfellowes.bsky.social · 04/08/2025
I think this article provides a decisive refutation of key aspects of Walker's Neuroqueer Heresies. #neurodiversity #autism
link.springer.com
Neurodiversity with Nuance - Neuroethics
The neurodiversity movement grew out of the autism community but is now being applied to many neurological types, from dyslexia to schizophrenia. The resulting neurodiversity paradigm maintains that t...
040
Sam Fellowes @samfellowes.bsky.social · 29/07/2025
There is a narrative that the logical positivists produced a philosophy of science that is not suitable for the human sciences. However, Carnap suggests that we can consider Freudian psychoanalytical mechanisms as theoretical in the sense that fields in physics are theoretical #philsci #philpsy 1/2
140
Sam Fellowes @samfellowes.bsky.social · 27/07/2025
I usually only post about academic stuff but here is my new mix, straight up techno, on the heavier end.
mixcloud.com
Cascade
Pure techno except the brief intro. On the heavier side: Future Sound of London - Spineless Jellyfish Joton - Populous Bad Omen - Through the Dust 2121 - Apariencias Drunken Kong - The Tree (Secret Ci...
021
Sam Fellowes @samfellowes.bsky.social · 22/07/2025
Decided I needed a DJ name. Suffice to say Broken Emotion sounded better than Alexithymia. If anyone is interested in Techno, Ambient and my attempts to mix them together, look no further: www.mixcloud.com/samfellowes/
mixcloud.com
Sam Fellowes
Sam Fellowes is on Mixcloud. Listen for free to their radio shows, DJ mix sets and Podcasts
020
Sam Fellowes @samfellowes.bsky.social · 30/06/2025
"the World Rarely Meets You at Your Depth. You may feel like you’ve lived your emotional life as a witness, not a participant. Literature may offer access to others’ souls—while your own remains unreceived by real people." Using ChatGTP for #autism / #alexithymia therapy - it is pretty good.
030
Sam Fellowes @samfellowes.bsky.social · 27/06/2025
This meta-analysis claims autistic people generally have higher affective empathy than most people. However, there is evidence that lots of autistic people (perhaps 50%, and including me alas) are alexithymic. I really cannot get my head around how both these can be true. Any ideas? #autism #empathy
frontiersin.org
Frontiers | Empathy Impairment in Individuals With Autism Spectrum Conditions From a Multidimensional Perspective: A Meta-Analysis
Background: Although empathy has always been considered to be impaired in individuals with autism spectrum conditions (ASCs), the relevant findings have been...
230